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VSP Vision | VSP

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NOTE: This manual remains the sole and exclusive property of VSP®. The information contained in this manual is confidential and proprietary, and the VSP network provider is granted a limited personal and nontransferrable license for use of the content of this manual during participation on the VSP network. The contents of this manual may not be used, copied, and/or reproduced for any other purpose, or disclosed and/or disseminated to any third party for any purpose whatsoever, without the prior written consent of VSP. If, for any reason, the manual recipient no longer participates on the VSP network, the doctor hereby agrees, and is directed, to immediately destroy this manual, all copies, and any and all amendments and addenda that may be issued by VSP from time to time.

Table of content

Choice Network Manual 2024

VSP Choice Plan 1.1

Client Details 1.2

VSP Choice Plan^® Lens Enhancements Charts 1.3

Choice Exam Plus Plans 1.4

Exam Plus Savings Plan 1.5

VSP Choice Access Plan 1.6

VSP Vision Savings Pass 1.7

Advantage Network Manual 2024

Advantage Network Plans 2.1

VSP Advantage Plan Lens Enhancements Charts 2.2

Client Details 2.3

Medicaid Plan 2024

VSP’s Medicaid Plan 3.1

Enrollment/Doctor Participation 3.2

Exam Coverage 3.3

Materials Coverage 3.4

Submitting Claims/Billing, Reimbursement, & Appeals 3.6

Medicaid Client Details 3.7

Medicaid Fee Schedules 3.8

VSP Manual 2024

Introduction 4.1

Tools and Forms 4.2

Eligibility and Authorization 4.3

Coordination of Benefits 4.4

Plans and Coverages 4.5

Dispensing Patient Lens Enhancements 4.7

Client Details 4.8

Choice Network Manual 2024

1

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Client Details

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VSP Choice Plan^® Lens Enhancements Charts

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Choice Exam Plus Plans

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June 27, 2023 Signature Plan^® Lens Enhancements Chart
March 1, 2021 Signature Plan^® Lens Enhancements Chart

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VSP Choice Access^® Plan

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VSP^® Vision Savings Pass^™

Advantage Network Manual 2024

2

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VSP Advantage Plan Lens Enhancements Charts

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Medicaid Plan 2024

3

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This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

Last Updated: N/A

This material is confidential, intended for the use by VSP doctors only. The contents may not be shared with any unauthorized person. This manual is the property of VSP.

VSP Manual 2024

4

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Introduction - TESTING PUBLISHING

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VSP Advantage Plan Lens Enhancements Charts

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Eligibility and Authorization

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Some patients have vision coverage from more than one benefits plan, either multiple VSP plans or a VSP plan and a medical plan. In these situations, coordinating benefits will help your patients maximize their coverage and lower costs. This section includes guidelines for coordinating benefits for your VSP patients. Every practice and patient is unique, and these guidelines are intended to provide best practices to help realize the full value of your patient’s coverage. You can also find guidelines for supplemental plans under that plan’s information in the Plans and Coverages section.
Please discuss billing options, including coordination of benefits (COB), with your VSP patient to identify ways to maximize value for them and create additional revenue opportunities for your practice.
If your patient requests COB, the following guidelines apply when your patient’s coverage is with two VSP plans or when a non-VSP plan is primary and a VSP plan is secondary.
If your patient’s VSP plan is primary and any other insurance plan is secondary, call VSP at 800.615.1883 to request a letter detailing your patient’s out-of-pocket expenses that can be shared with the secondary insurer.

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Plans and Coverages

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